DentAI – The Alleman-Deliperi Rule and Biobase Impression
فارسیIn dentAI #20. We continue through David Alleman's six-lesson biomimetic series. In this part we discuss the Alleman-Deliperi Rule and the Biobase impression.
The Alleman-Deliperi Rule for the Biobase
- The thickness of the initial layers bonded to the tooth's dentin during the first 5 minutes should not exceed 1.5 mm.
- The layers that form the Biobase, placed during the first 5 minutes and being part of the Biobase, are as follows:
- Immediate Dentin Sealing (IDS)
- Resin Coating (RC) with a thickness of 0.5 mm
- Composite (fiber-reinforced) with a thickness of 1 mm
Impression in the indirect method of making a dental restoration
- Ideal method (recommended):
- Preparation
- IDS and RC
- Impression / scan
- Waiting for the restoration to be fabricated in the laboratory (during this time the hybrid layer matures and, over a long period until delivery, reaches its maximum strength)
- Fabricating the restoration and cementing it
- Advantages: High bond strength and greater durability of the restoration thanks to sufficient maturation of the hybrid layer.
Second method (non-ideal — DDS, or Delayed Dentin Sealing)
- Preparation
- Impression / scan
- Fabricating the restoration
- DDS (applying the bond to the dentin immediately before delivering the restoration)
- Cementing the restoration
- Disadvantages: Lower bond strength due to insufficient maturation of the hybrid layer.
If an impression is taken immediately after building the Biobase, the following are mandatory
- Using glycerin: To prevent the effects of oxygen inhibition.
- Removing residual resin from the enamel margins by performing appropriate finishing.
- Cleaning the Biobase with pumice: To remove contaminants (this step is performed when digital scanning is not used).
- The goal of these measures: To prevent interference between the impression material (especially PVS) and the resin.